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Retired NBME 20 Answers

nbme20/Block 3/Question#13 (reveal difficulty score)
A 45-year-old woman develops proteinuria and ...
Tubulointerstitial nephritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +3  upvote downvote
submitted by โˆ—hayayah(1212)
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euAct tttiraiisenl nelar i.inmamtfnola Pruyai cascallly(is hn)iipsoleso dna aaotemiz rciucgnro trfea oiiintmradsnta fo gurds htat atc sa anthps,e nigciudn etnpyeshvyrsiiit e(g, i,cetrsiud ANsI,SD lcinlpiien averitsdve,i otopnr mppu inb,siirtho afnipir,m nnse,oqulio sesifmonla.d)u

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hungrybox  But ohw si a ary2-e roshyti tu?eca +4
jinzo  ereth is saol " riCohcn niiestailtrt adsesei " +4
targetmle  i tog ti ornwg bcauese heert wtasn h,ras slao erhte wsa atiuernoi,rp seontd it denicati lmgrrelaou timevon?nlve +2
zevvyt  oGt it gonrw oto cuz of t.hat utB ehter cna be eiroupitran ni ntiirephs, tsju not as uchm as ni iptenorch emosr.ydn I uesgs htat's csugionnf zuc hist ytpe fo rtsipeinh n'sit rpoudeg itwh teh eohtr tcniepirh oiictndso.n +1
lovebug  FA 2091, ePag 1.59 +

I think this can either be acute or chronic tubulointerstitial nephritis. According to MSDmanuals, 'acute' TIN symptom onset can occur 18 months after NSAID use. The classic triad of fever, urticaria, and eosinophilia is only present in <10% of cases. Also, they can have proteinuria (<1 g/day) or even nephrotic-range proteinuria (>3.5 g/day) if it's caused by NSAIDs.

+2/- fatboyslim(118)


 +3  upvote downvote
submitted by apple222(3)
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uiinoertpar + hmaetriau, cnhiorc lnieascag aubes &;gt- nrela ipallaryp ronssiec , chiwh nca be a rgnirseopso mrof ucaet ittisenltira rnhstpeii c(edrinuudgd- sniyitheysrevitp ivgvlonni eth suinmtiirtte nad e)utlubs

1ohPat9ma 1p72

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